Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,221.00 / $7,316.00	Facility		$500.00	$2,221.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.68 / $387.30 / $531.65	Professional		$333.68	$387.30	$531.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,414.83 / $4,558.00 / $8,995.25	Facility		$2,414.83	$4,558.00	$8,995.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.79 / $342.40 / $394.89	Professional		$326.79	$342.40	$394.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $328.99 / $328.99 / $328.99	Facility		$328.99	$328.99	$328.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $2,376.10	Facility		$2,376.10	$2,376.10	$2,376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.63 / $481.09 / $737.88	Professional		$366.63	$481.09	$737.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $12,000.00 / $12,000.00	Facility		$9,388.90	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,648.72 / $2,703.68 / $3,040.43	Professional		$2,648.72	$2,703.68	$3,040.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $353.48 / $459.82 / $917.72	Facility		$353.48	$459.82	$917.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $460.45 / $541.91 / $637.54	Professional		$460.45	$541.91	$637.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Professional		$460.00	$460.00	$460.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $353.48 / $460.76 / $932.36	Facility		$353.48	$460.76	$932.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $370.01 / $487.13 / $758.95	Professional		$370.01	$487.13	$758.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.18 / $410.09 / $633.78	Professional		$289.18	$410.09	$633.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.29 / $344.73 / $478.48	Professional		$302.29	$344.73	$478.48